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NPI Code Detail

MEDICARE: MARIANNE TERRADO ESTIRA P.T.

MEDICARE:   MARIANNE TERRADO ESTIRA  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist028880NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1028880OTHERNYLICENSE NUMBER

General Provider Information

NPI Number : 1407181340
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE TERRADO ESTIRA P.T.
Provider Business Mailing Address
First Line : 1150 PELHAM PKWY S APT 5A
Second Line :
City : BRONX
State : NY
Zip : 10461-1034
Country : US
Telephone Number : 908-514-0439
Fax Number : 718-338-2695
Provider Business Practice Location Address
First Line : 3130 GRAND CONCOURSE STE 1E
Second Line :
City : BRONX
State : NY
Zip : 10458-1263
Country : US
Telephone Number : 212-203-3201
Fax Number : 718-338-2695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2009
Last Update Date : 04/02/2026

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